Individual
WILLIAM M NEEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
448 E 1ST ST, SALIDA, CO 81201-2804
(800) 462-0975
Mailing address
PO BOX 7704, LOVELAND, CO 80537-0704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26531
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01265313
—
CO
Enumeration date
06/14/2006
Last updated
10/04/2007
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